基于护理迷你临床演练评估量表的临床教学模式的设计与实施
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摘要
目的构建护理迷你临床演练评估临床教学模式,并探讨其实施效果。方法以2011级本科护生35人为对照组,2012级本科护生42人为实验组。对照组采用传统实习带教方法带教,实验组采用护理迷你临床演练评估教学模式带教。采用护理迷你临床演练评估量表、实习出科考核成绩、教师教学效能感量表分别对护生与教师进行评价。结果实验组护理迷你临床演练评估量表护理问诊、护理查体、护理诊断、健康咨询、组织效能、整体评价得分显著高于对照组(P<0.05,P<0.01);实习平时考核成绩、出科操作成绩、教师教学效能感得分显著高于对照组(P<0.05,P<0.01)。结论护理迷你临床演练评估教学模式可提高临床护理教学质量,实现教学相长。
Objective To design a clinical mentoring program based on the Nursing-Mini-CEX and to explore its effects.Methods Thirty-five baccalaureate nursing students of Grade 2011 were assigned to control group and received conventional clinical mentoring,while their counterparts of Grade 2012(n=42)were assigned to experimental group and were subjected to a clinical mentoring program designed based on the Nursing-Mini-CEX.Effects were compared between the two groups by using the Nursing-MiniCEX and by conducting examinations before completion of practice in each department.Clinical teachers were invited to fill out the Teaching Efficacy Scale.Results The scores of nursing interviewing skills,physical examination skills,nursing diagnosis skills,counseling skills,organization/efficiency and overall clinical competence measured using the Nursing-Mini-CEX were significantly higher in the experimental group than the control group(P<0.05,P<0.01).The mean usual examination score,and practical examination score before completion of practice in each department teachers′teaching efficacy score were significantly higher in the experimental group than the control group(P<0.05,P<0.01).Conclusion The clinical mentoring program designed based on the Nursing-Mini-CEX can improve quality of clinical teaching,thus to achieve sustainable development of teaching and learning.
Objective To design a clinical mentoring program based on the Nursing-Mini-CEX and to explore its effects.Methods Thirty-five baccalaureate nursing students of Grade 2011 were assigned to control group and received conventional clinical mentoring,while their counterparts of Grade 2012(n=42)were assigned to experimental group and were subjected to a clinical mentoring program designed based on the Nursing-Mini-CEX.Effects were compared between the two groups by using the Nursing-MiniCEX and by conducting examinations before completion of practice in each department.Clinical teachers were invited to fill out the Teaching Efficacy Scale.Results The scores of nursing interviewing skills,physical examination skills,nursing diagnosis skills,counseling skills,organization/efficiency and overall clinical competence measured using the Nursing-Mini-CEX were significantly higher in the experimental group than the control group(P<0.05,P<0.01).The mean usual examination score,and practical examination score before completion of practice in each department teachers′teaching efficacy score were significantly higher in the experimental group than the control group(P<0.05,P<0.01).Conclusion The clinical mentoring program designed based on the Nursing-Mini-CEX can improve quality of clinical teaching,thus to achieve sustainable development of teaching and learning.
引文
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[12]郭中献,沙丽艳,伊静,等.参照系培训法在护理迷你临床演练评估评分者培训中的应用[J].中国护理管理,2016,16(9):1225-1229.
[13]董凤伟,徐莲英.基于迷你临床演练评估的护理临床规范化带教方法[J].解放军护理杂志,2014,31(22):67-69.
[2]Paravicini I,Peterson C K.Introduction,development,and evaluation of the mini clinical evaluation exercise in postgraduate education of chiropractors[J].J Chiropr Educ,2015,29(1):21-28.
[3]杨韵歆,阿依夏木古丽·沙得尔,李星海.教学医学护理临床实习与带教质量评价体系的构建[J].护理学杂志,2015,30(10):80-83.
[4]刘继红,岳鹏,于晓,等.阶段式责任制临床带教方案的设计与实施[J].护理学杂志,2016,31(1):19-21.
[5]章芳芳,黄丽华,胡一宇,等.护理岗位培训评价标准的构建[J].中华护理杂志,2016,51(1):11-14.
[6]俞国良,辛涛,申继亮.教师教学效能感:结构与影响因素的研究[J].心理学报,1995,27(2):159-166.
[7]巩小军.临床护理教师自我效能感、教学效能感与教学行为关系的研究[D].太原:山西医科大学,2007.
[8]Kevin R R,Allan S C,George E J,et al.Comparing the effectiveness of self-paced and collaborative frame-of-reference training on rater accuracy in a large-scale writing assessment[J].J Educ Meas,2015,52(3):310-318.
[9]柴翠萍,栾丰年,赵春红,等.迷你临床演练评量在新护士规范化培训中的应用[J].中华护理杂志,2013,48(8):699-701.
[10]李芳芳,姜安丽,胡雁,等.应用行动研究法构建护理学硕士研究生专业课程资源共享体系[J].中华护理杂志,2013,48(6):527-529.
[11]张宇斐,李继平.护士自我效能与工作投入相关性研究[J].中国护理管理,2015,15(3):276-279.
[12]郭中献,沙丽艳,伊静,等.参照系培训法在护理迷你临床演练评估评分者培训中的应用[J].中国护理管理,2016,16(9):1225-1229.
[13]董凤伟,徐莲英.基于迷你临床演练评估的护理临床规范化带教方法[J].解放军护理杂志,2014,31(22):67-69.